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Can A Cut Tendon Be Repaired

What is an extensor tendon?

A tendon is a flexible simply inelastic cord of potent tissue that lies next to the bone; they attach a musculus to os. Extensor tendons of the upper limb are located on the dorsum of the easily, wrists, and fingers. They allow individuals to straighten their fingers and thumbs. 

Extensor tendor repair is a surgery to repair torn or damaged extensor tendons on the back of the fingers.

Extensor tendon repair surgery repairs torn or damaged extensor tendons on the back of the fingers.

These tendons are attached to the muscles in the forearm. As these tendons continue over the fingers (digits), they become apartment and thin. In the fingers, these tendons are joined by smaller tendons from the muscles in the manus. Information technology is these small muscle tendons that let effectively movements and coordination of the fingers.

What is an extensor tendon injury?

Extensor tendons can be injured by a minor cut or jamming of the finger, causing the thin tendons to rip from their attachment to the bone. If untreated, an extensor tendon injury may make it difficult to straighten one or more joints.

Cuts on the back of the paw tin injure the extensor tendons. This can make it hard to straighten the fingers.

Below are a few common extensor tendon injuries:

  • Mallet finger: This happens when an extensor tendon is cut or torn from the bone. It is mutual when a ball or other object strikes the tip of the finger or thumb and forcibly bends information technology.
  • Boutonnière deformity: It is described as the flexed (bent down) position of the center joint of the finger. This can happen from a cut or tear of the extensor tendon.

What is an extensor tendon repair?

Surgical repair of a lacerated or torn extensor tendon is chosen extensor tendon repair. An extensor tendon repair surgery can be performed nether either regional or general anesthesia.

The goal of any extensor tendon repair surgery is to re-establish the integrity and durability of the damaged tendon, thereby renewing as much of the previous function as possible. A tendon repair is not ordinarily regarded every bit an emergency surgery merely is mostly performed as chop-chop equally possible after the injury—usually inside a few days.

  • If a tendon is damaged considering of a wound, the wound is thoroughly cleaned.
  • A surgeon makes an incision (cut) on the hand to brand the wound larger and stitches the 2 ends of the ruptured tendon together.
  • The surgeon closes the wound with stitches and fits a rigid splint (support to protect your mitt) made of plaster to stop moving your hand and damaging the repaired tendons.
  • Sometimes, a tendon is likewise short for the surgeon to sew information technology back together every bit it is. In this example, the surgeon will graft an extra piece of the tendon betwixt the ends to make them meet.
  • The surgeon usually takes a healthy tendon tissue for the graft from some other part of the person'south torso.
  • If a person requires a tendon transfer, the surgeon removes a tendon that is shut to the severed tendon and sews it into the place of the broken tendon to restore function.
  • The surgeon usually takes tendons from areas where the body has two tendons but can manage with just one.
  • If nothing else has been damaged, an extensor tendon repair surgery can take approximately 30 minutes to consummate. If there is a tendon graft involved, this procedure may take approximately 120 minutes.

What is the recovery menstruation subsequently an extensor tendon repair?

There are three stages of extensor tendon healing afterward a surgery:

  • Swelling/Inflammation: For the outset three to five days, the area may feel swollen while the body works to heal itself.
  • Early repair: During the adjacent three to vi weeks, the range of motion will start to return, but the area may feel slightly strong.
  • Later on repair: Afterward 10-12 weeks, the swelling will reduce, and the tendon will exist easier to move.

In well-nigh cases, a person can become home shortly afterwards the tendon repair surgery. The medical team will recommend physical therapy or occupational therapy to assistance bring back the range of movement slowly and safely. A person should not start the exercises until a doctor says information technology is prophylactic to do so.

It is essential to keep the area elevated to prevent hurting and swelling for the start few days.

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Medically Reviewed on 7/15/2020

References

Medscape Medical Reference

Source: https://www.medicinenet.com/what_is_an_extensor_tendon_repair/article.htm

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